Healthcare Provider and Payer Markets

Cory S. Capps, David Stuart Dranove

Research output: Chapter in Book/Report/Conference proceedingEntry for encyclopedia/dictionary

Abstract

After a brief discussion of the evolution of competition in healthcare markets, we review key economic concepts and empirical research, addressing in turn the three largest sectors of the healthcare industry: hospitals, physicians, and insurers. For each sector, we present illustrative, often seminal, antitrust cases, while emphasizing the interaction between economic research and litigation outcomes in antitrust cases. With respect to providers, we address issues that arise in horizontal mergers and then turn attention to common categories of vertical theories of harm, largely pertaining to exclusionary conduct. With respect to payers, we separately examine competition in output markets (the sale of commercial health insurance) and input markets (the purchase of provider services) and show how the two are intertwined. We conclude with a discussion of the role of competition policy in the midst of rapidly evolving public and private healthcare reform initiatives.
Original languageEnglish (US)
Title of host publicationThe Oxford Handbook of International Antitrust Economics
EditorsRoger D. Blair, D. Daniel Sokol
PublisherOxford University Press, Inc.
Pages63-118
Number of pages55
Volume1
ISBN (Print)9780199859191
DOIs
StatePublished - 2014

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